| NPI | 1366855165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: OH 35.144562) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 298771) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 298771) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2022-05-24 |